2025-11-13T09:10:10-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 4150 2ND STREET SOUTH SUITE 400 ST CLOUD MN 56301 990 2024-01-01 237396466 MILLER-DWAN FOUNDATION AND SUBSIDIARIES MILL 2187862823 225 W SUPERIOR ST HOLIDAY CTR 110 DULUTH MN 55802 TRACI MARCINIAK PRESIDENT 2187862823 2025-11-11 1 1 ANGELICA KRAUTKRAMER EA P02005570 3202035500 2025-11-10 2024 2025-03-06 01:10:19Z TRACI MARCINIAK 225 W SUPERIOR ST HOLIDAY CTR 110 DULUTH MN 55802 9679112 0 X WWW.MILLERDWANFOUNDATION.ORG X 1973 MN THE MILLER-DWAN FOUNDATION IMPROVES THE HEALTH OF THE PEOPLE OF OUR REGION THROUGH THE CREATION OF IMPACTFUL COMMUNITY SOLUTIONS THAT OVERCOME BARRIERS. WE SUPPORT THE FUTURE AND THE LEGACY OF MILLER-DWAN MEDICAL CENTER, POLINSKY MEDICAL REHABILIATION CENTER, COLVAY HOSPICE HOUSE, AMBERWING - CENTER FOR YOUTH & FAMILY WELL-BEING AND OTHER INITIATIVES FOR OUR REGION'S HEALTH. BY COMING TOGETHER WITH OTHERS WHO SHARE OUR VISION AND PASSION, WE ARE ABLE TO MAKE A DIFFERENCE IN THE LIVES OF PEOPLE EVERY DAY. 15 14 11 60 0 0 1728684 2653609 34098 21661 574196 1386770 -195803 -169301 2141175 3892739 1139821 1233547 0 0 852326 1057730 0 0 121100 1033404 1107798 3025551 3399075 -884376 493664 33362303 35941867 520104 1195152 32842199 34746715 X THE MILLER-DWAN FOUNDATION IMPROVES THE HEALTH OF THE PEOPLE OF OUR REGION THROUGH THE CREATION OF IMPACTFUL COMMUNITY SOLUTIONS THAT OVERCOME BARRIERS. WE SUPPORT THE FUTURE AND THE LEGACY OF MILLER-DWAN MEDICAL CENTER, POLINSKY MEDICAL REHABILIATION CENTER, COLVAY HOSPICE HOUSE, AMBERWING - CENTER FOR YOUTH & FAMILY WELL-BEING AND OTHER INITIATIVES FOR OUR REGION'S HEALTH. BY COMING TOGETHER WITH OTHERS WHO SHARE OUR VISION AND PASSION, WE ARE ABLE TO MAKE A DIFFERENCE IN THE LIVES OF PEOPLE EVERY DAY. 0 0 1708228 888535 THE FOUNDATION SUPPORTS MEANINGFUL HEALTHCARE PROGRAMS ON THE MEDICAL CAMPUS AND IN THE COMMUNITY. GRANTS ARE MADE THROUGHOUT THE YEAR TO IMPROVE HEALTHCARE IN OUR REGION AND ARE PRIMARILY FOCUSED ON ADULT AND ADOLESCENT MENTAL HEALTH, HOSPICE, PHYSICAL REHABILITATION, CANCER CARE, BURN CARE AND SURGICAL SERVICES.GRANTMAKING AND DESIGNATED FUND SUPPORT:THE MILLER-DWAN FOUNDATION PROVIDES GRANTS TO ADVANCE HEALTH, HEALING, AND WELLNESS IN NORTHEASTERN MINNESOTA AND NORTHWESTERN WISCONSIN. THROUGH DESIGNATED FUNDS AND STRATEGIC GRANTMAKING, THE FOUNDATION SUPPORTS PROJECTS ALIGNED WITH ITS MISSIONPRIMARILY IN THE AREAS OF MENTAL HEALTH, PHYSICAL REHABILITATION, HOSPICE CARE, AND SERVICES FOR INDIVIDUALS WITH DISABILITIES. IN THE REPORTING YEAR, GRANTS WERE AWARDED TO SUPPORT PATIENT CARE ENHANCEMENTS, INNOVATIVE THERAPIES, STAFF EDUCATION, COMMUNITY OUTREACH, AND THE PURCHASE OF SPECIALIZED MEDICAL AND THERAPEUTIC EQUIPMENT. THE FOUNDATION ALSO MANAGES DONOR-DIRECTED FUNDS THAT BENEFIT DEPARTMENTS OF THE FORMER MILLER-DWAN MEDICAL CENTER. 552351 11883 21661 NORTHLAND ADAPTIVE RECREATION:NORTHLAND ADAPTIVE RECREATION (NAR) IS A NEWLY ACQUIRED LLC OF THE MILLER-DAWN FOUNDATION. NAR IS A REGIONAL INITIATIVE THAT EXPANDS ACCESS TO OUTDOOR AND RECREATIONAL ACTIVITIES FOR INDIVIDUALS WITH PHYSICAL DISABILITIES. THROUGH THIS PROGRAM, ADAPTIVE EQUIPMENT AND INCLUSIVE PROGRAMMINGSUCH AS KAYAKING, CROSS-COUNTRY SKIING, AND BIKINGARE MADE AVAILABLE TO INDIVIDUALS OF ALL ABILITIES. THE PROGRAM PROMOTES PHYSICAL WELLNESS, SOCIAL INCLUSION, AND COMMUNITY ENGAGEMENT FOR THOSE WHO MAY OTHERWISE BE EXCLUDED FROM TRADITIONAL RECREATION OPPORTUNITIES. FUNDING HELPED PURCHASE ADAPTIVE GEAR, SUPPORT INSTRUCTOR TRAINING, AND INCREASE COMMUNITY AWARENESS. IN 2024, NAR SERVED 139 PARTICIPANTS, HAD 343 OUTINGS AND PROVIDED 4,600 HOURS OF SERVICE. IN THE LONG-TERM, NAR IS EXPECTED TO GROW BEYOND ITS CURRENT REGION AND EXPAND PROGRAM OFFERINGS. 452134 PROBLEM MANAGEMENT PLUS (PM+), HOPE X:THE MILLER-DWAN FOUNDATION INITIATED THE IMPLEMENTATION OF PROBLEM MANAGEMENT PLUS (PM+), A WORLD HEALTH ORGANIZATION-DEVELOPED, EVIDENCE-BASED MENTAL HEALTH INTERVENTION. PM+ IS DESIGNED TO BE DELIVERED BY TRAINED NON-CLINICIANS TO INDIVIDUALS EXPERIENCING PSYCHOLOGICAL DISTRESS, PARTICULARLY IN LOW-RESOURCE SETTINGS. IN 2022-2023, THE FOUNDATION FUNDED THE LAUNCH OF PM+ IN THE REGION TO INCREASE ACCESS TO EARLY MENTAL HEALTH SUPPORT AND REDUCE BARRIERS TO CARE. THE PROGRAM HELPS INDIVIDUALS MANAGE STRESS, SOLVE PRACTICAL PROBLEMS, AND STRENGTHEN SOCIAL SUPPORT. FUNDING SUPPORTED FACILITATOR TRAINING, OUTREACH, AND INITIAL DELIVERY TO COMMUNITY PARTICIPANTS. ARCAMIND, A NEWLY FORMED LLC OF THE MILLER-DWAN FOUNDATION, IS THE FOUNDATION'S TRAINING ENTITY PROVIDING PM+, PSYCHOLOGICAL FIRST AID AND DIALECTICAL BEHAVIOR SKILLS BUILDING (DBT). IN 2026, ARCAMIND WILL LAUNCH EASE, A PROGRAM SIMILAR TO PM+, BUT DESIGNED SPECIFICALLY FOR CHILDREN AND ADOLESCENTS. THE LONG-TERM GOAL IS TO PROMOTE SYSTEM TRANSFORMATION BY CHANGING THE WAY MENTAL HEALTH CARE IS PROVIDED IN THE UNITED STATES. IN 2024, 23 PM+ HELPERS WERE TRAINED WITH 13 COMMUNITY ORGANIZATIONS PARTICIPATING. 304879 52780 SOLVAY HOSPICE HOUSE:SOLVAY HOSPICE HOUSE PROVIDES RESIDENTIAL END-OF-LIFE CARE IN A HOME-LIKE ENVIRONMENT. IN 2024, THE FOUNDATION SUPPORTED 209 PATIENTS AT THE END OF LIFE. SERVICES FOCUS ON COMFORT, DIGNITY, AND FAMILY SUPPORT. THE FOUNDATION'S ARTCETERA GALA RAISED OVER $100,000 TO SUPPORT MENTAL HEALTH AND HOSPICE SERVICES. IN 2024, THE MILLER-DWAN FOUNDATION PROVIDED NEARLY $100,000 IN COMPASSIONATE CARE AND MORE THAN $300,000 IN BUILDING UPDATES. MILLER-DWAN FOUNDATION'S LONG-TERM GOAL IS TO CONTINUE TO PROVIDE SUSTAINABLE SOLVAY HOSPICE HOUSE CARE. 16521 79659 AMBERWING CENTER FOR YOUTH & FAMILY WELL-BEING:AMBERWING, A MENTAL HEALTH OUTPATIENT CENTER WHICH OPENED IN 2012, PROVIDES SHORT-TERM INTENSIVE TREATMENT FOR CHILDREN, ADOLESCENTS, AND FAMILIES. THE PROGRAM SERVED NEARLY 5,000 YOUTH AND FAMILIES BY ITS 10TH ANNIVERSARY IN 2022. SERVICES INCLUDE GROUP, INDIVIDUAL, AND FAMILY THERAPY, PLUS INTEGRATIVE SUPPORTS LIKE MOVEMENT, MUSIC AND ART THERAPY. THE PROGRAM PROMOTES EMOTIONAL HEALING, FAMILY COHESION, AND LONG-TERM WELL-BEING. IN 2024, PROGRAM IMPROVEMENTS INCLUDED A MOVE FROM 3 TO 4 WEEKS OF PROGRAMMING PER CHILD WITH 400 YOUTH SERVED. 67% OF THOSE YOUTH SAW IMPROVEMENT IN SEVERE BEHAVIORAL HEALTH IMPAIRMENT. 83% IMPROVED ON ONE MORE OUTCOME INDICATORS (SCHOOL, HOME, MOOD, SELF-HARM AND SUBSTANCE ABUSE. LONG-TERM, THE MILLER-DWAN FOUNDATION WILL CAPITALIZE ON THE SUCCESS OF AMBERWING EXPANDING PROGRAMMING TO SERVE MORE YOUTH AND FAMILIES ALONG THE CONTINUUM OF CARE. 200690 POLINSKY MEDICAL REHABILITATION CENTER:MILLER-DWAN FOUNDATION IS THE FUNDING ENTITY FOR POLINSKY MEDICAL REHABILITATION CENTER PURCHASING EQUIPMENT AND EDUCATION FOR THERAPISTS TO REMAIN FULLY CARF-CERTIFIED AND ON THE CUTTING-EDGE OF CARE. FOR EXAMPLE, IN 2024, 29 THERAPISTS WERE TRAINED IN CHRONIC PAIN, FUNCTION MOVEMENT DISORDERS, POST CONCUSSIVE CARE AND PERSISTENT POSTURAL PERCEPTION DEFICITS. 50 THERAPISTS WERE TRAINED TO PROVIDE PELVIC FLOOR THERAPY. MORE THAN $200,000 IN PHYSICAL MEDICAL REHABILITATION FUNDING WAS DELIVERED TO SUPPORT OUTPATIENT REHABILITATION IN 2024.THE FOUNDATION SUPPORTS INPATIENT AND OUTPATIENT REHABILITATION AT MILLER-DWAN MEDICAL CENTER. IN 2024, THE TOTAL HOSPITAL LENGTH FOR PATIENTS SERVED WAS 1 DAY SHORTER THAN THE NATIONAL AVERAGE, HELPING PATIENTS GET BACK TO THE COMMUNITY SOON. THIS CAN BE ATTRIBUTED TO THE STATE-OF-THE-ART EQUIPMENT PURCHASES AND TRAINING PROVIDED BY THE MILLER-DWAN FOUNDATION EXAMPLES OF THIS SUPPORT INCLUDE THE INTRODUCTION OF VIRTUAL REALITY TECHNOLOGY TO ENHANCE MOBILITY, COGNITION, AND BALANCE THERAPIES. ANIMAL-ASSISTED THERAPY:EXPANDED THE ANIMAL-ASSISTED THERAPY PROGRAM BY ADDING 4 NEW THERAPY DOGS AND REVIVING VOLUNTEER PET VISITS. ENGAGED PATIENTS THROUGH EMOTIONAL AND MOTIVATIONAL THERAPEUTIC ENCOUNTERS WITH ANIMALS INCLUDING MINIATURE HORSES AND A NEWFOUNDLAND THERAPY DOG.COMMUNITY OUTREACH:FUNDED A PEDIATRIC THERAPY LENDING CLOSET IN NORTHERN WISCONSIN, BENEFITING APPROXIMATELY 250 CHILDREN ANNUALLY. ALSO SUPPLIED THERAPY EQUIPMENT TO RURAL CLINICS, IMPROVING ACCESS IN SOLON SPRINGS, POPLAR, AND IRON RIVER.ABILITIES FIRST & DESIGNATED GRANTS:FUNDED EQUIPMENT AND SERVICES PROMOTING INDEPENDENCE FOR INDIVIDUALS WITH DISABILITIES IN NORTHEASTERN MINNESOTA AND NORTHWESTERN WISCONSIN. ALSO PROVIDED DEPARTMENT-SPECIFIC GRANTS TO SUPPORT PATIENT CARE, EDUCATION, AND ENVIRONMENTAL IMPROVEMENTS.STRATEGIC MENTAL HEALTH INITIATIVES:IN PARTNERSHIP WITH THE UNIVERSITY OF WISCONSINSUPERIOR, SUPPORTED THE #BETTERTOGETHER INITIATIVE IN DOUGLAS COUNTY, WISCONSIN. FOCUSED ON SUICIDE PREVENTION, URGENT MENTAL HEALTH ACCESS, AND PROVIDER WORKFORCE DEVELOPMENT. 321400 333129 3034113 1 1 0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 13 0 1 11 1 0 0 0 0 0 1 1 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN WI FL AZ X TRACI MARCINIAK 2187862823 225 WEST SUPERIOR STREET HOLIDAY DULUTH MN 55802 TANYA NICHOLS TREASURER/FINANCE CHAIR 1.00 X X 0 0 0 DR ELENA MEDTCALF SECRETARY 1.00 X X 0 0 0 MIKE SEYFER CHAIR 1.00 X X 0 0 0 RYAN BOMAN BOARD MEMBER 1.00 X 0 0 0 ASHLIE CASTALDO BOARD MEMBER 1.00 X 0 0 0 CARL CRAWFORD BOARD MEMBER 1.00 X 0 0 0 DR BRAD DAVIS BOARD MEMBER 1.00 X 0 0 0 MARK EMMEL BOARD MEMBER 1.00 X 0 0 0 TRACY LITMEN BOARD MEMBER 1.00 X 0 0 0 BRENT MALVICK BOARD MEMBER 1.00 X 0 0 0 MIKE MCPARLAN BOARD MEMBER 1.00 X 0 0 0 TIM MCSHANE BOARD MEMBER 1.00 X 0 0 0 MISSY MEIERHOFF BOARD MEMBER 1.00 X 0 0 0 JENNY PETERSON BOARD MEMBER 1.00 X 0 0 0 TRACI MARCINIAK PRESIDENT 40.00 X 170227 0 24111 RICHARD GERTSEMA SENIOR MENTAL HEALTH ADVISOR 40.00 X 118260 0 24111 JOAN OSSWALD DIRECTOR OF OPERATIONS 40.00 X 101151 0 12054 389638 0 60276 3 0 1 0 HAILEY SAULT 394 S LAKE AVE DEWITT-SEITZ MARKET DULUTH MN 55802 MARKETING 389362 KITCHEE GAMMI DESIGN CO 116 WEST KENT RD DULUTH MN 55803 INTERIOR DESIGN AND FURNISHINGS 310641 THE NEW SCHOOL PO BOX 411392 OFFICE OF FINANCE BOSTON MA 022411392 SUPPORT AND EDUCATION FOR ARCAMIND 212908 3 419285 2234324 112536 2653609 NORTHLAND ADAPTIVE RECREATION 900099 21661 21661 21661 558361 558361 6378073 5549664 828409 828409 828409 27500 419285 226542 -199042 -199042 39908 10167 29741 29741 3892739 21661 0 1217469 1192084 1192084 41463 41463 449914 366933 47324 35657 414926 338399 43643 32884 192890 157314 15287 20289 10409 10409 41416 41416 5743 5743 261334 248932 1196 11206 347033 261535 64848 20650 49632 49632 59848 59348 86 414 332383 318473 13910 3399075 3034113 243862 121100 613635 56867 411385 234996 68911 716937 62272 9429 11054265 6443100 3717531 4611165 14047948 15151770 10461346 10564452 3979275 4596251 33362303 35941867 275714 188710 89261 135531 155129 234996 300000 0 335915 520104 1195152 X 13809920 14098035 19032279 20648680 32842199 34746715 33362303 35941867 493664 1410852 0 X 0 1 X 1 0 X 1279082 1193097 1211209 1728684 2539213 7951285 1279082 1193097 1211209 1728684 2539213 7951285 1548909 6402376 333128 591755 458947 507290 558361 2449481 4860 29766 1513 34098 21661 91898 10492664 0.61020 0.59100 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: NORTHLAND ADAPTIVE REC - 2023 AMOUNT: $ 14,572. 2024 AMOUNT: $ 21,661. ESSENTIA PROGRAM RENTAL INCOME - 2021 AMOUNT: $ 24,966. DBT TRAINING - 2023 AMOUNT: $ 19,526. MISCELLANEOUS - 2020 AMOUNT: $ 4,860. 2021 AMOUNT: $ 4,800. 2022 AMOUNT: $ 1,513. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 3119696 289614 124998 9220 3275092 2882140 279221 41665 3119696 0.14083 0.17964 0.67953 0 1 1 486930 486930 8305443 4692840 3612603 1241695 1241695 0 622273 508565 113708 397924 397924 4611165 ALTERNATIVE INVESTMENTS 5295080 F EXCHANGE TRADED FUNDS 2916137 F CORPORATE, FIXED INCOME 1373284 F US GOVERNMENT AGENCY DEBT SECURITIES 979951 F 10564452 RIGHT OF USE ASSETS 335915 BENEFICIAL INTEREST IN PERPETURAL TRUST 4260336 4596251 CURRENT PORTION OF LEASE LIABILITY 45582 LONTERM PORTION OF LEASE LIABILITY 290333 335915 X 5303591 1410852 1410852 3892739 0 3892739 3399075 0 3399075 0 3399075 PART IV, LINE 2B: THE FOUNDATION RECEIVES ASSETS TRANSFERRED FROM UNAFFILIATED ENTITIES AND ACTS AS AN AGENT FOR THOSE ENTITIES. THE TRANSFER OF ASSETS IS NOT CONSIDERED A CONTRIBUTION RECEIVED BY THE FOUNDATION. THE FOUNDATION RECOGNIZES A LIABILITY CONCURRENT WITH THE RECOGNITION OF THE ASSET RECEIVED. PART V, LINE 4: MARY C. DWAN LEGACY FUND: THE FUND CONSISTS OF BOARD DESIGNATED ADDITIONS AND DONOR-RESTRICTED CONTRIBUTIONS FOR THE SUPPORT OF THE PROGRAMS AND INITIATIVES IDENTIFIED BY MARY C. DWAN IN HER LETTER TO MILLER-DWAN HOSPITAL AND MEDICAL CENTER IN 1971. DONOR-DESIGNATED FUND: THE FUND CONSISTS OF DONOR-RESTRICTED CONTRIBUTIONS AND GRANTS FOR PROGRAM SERVICES AND FOR ACQUISITIONS OF LONG-LIVED ASSETS. VAN GORDEN FUND: THE FUND INCLUDES AMOUNTS RECEIVED FROM THE VAN GORDEN FOUNDATION OF PRC. THE VAN GORDEN FUND ADVISORY COMMITTEE MAKES RECOMMENDATIONS TO THE MILLER-DWAN FOUNTAIN BOARD ON THE MANAGEMENT, INVESTMENT ALLOCATION AND DISBURSEMENT OF THE VAN GORDEN FUND. THE VAN GORDON FUND CONSISTS OF THE FOLLOWING: ALBERT J. GONSKA MEMORIAL FUND: THE PURPOSE OF THIS FUND IS TO ASSIST THE PEDIATRIC REHABILITATION DEPARTMENT HISTORICALLY MAINTAINED BY POLINSKY, OR ITS SUCCESSOR, IN THE FINANCING OF PROGRAMS, RESEARCH AND NEW EQUIPMENT. SARA M. YOUNG EDUCATION FUND: THE PURPOSE OF THIS FUND IS TO PROVIDE EDUCATIONAL OPPORTUNITIES TO REHABILITATION PATIENTS, FAMILY MEMBERS AND PRACTITIONERS. VAN GORDON NEW INITIATES FUND: THE PURPOSE OF THIS IS TO SUPPORT AND PROMOTE NEW AND INNOVATIVE PROGRAMS OF REHABILITATION SERVICES, RESEARCH AND EDUCATION FOR TAX-TEMPT INSTITUTIONS IN NORTHER MINNESOTA, NORTHERN WISCONSIN AND THE UPPER PENINSULA OF MICHIGAN. - POLINSKY SUB FUND: IS SUB FUND OF THE VAN GORDEN NEW INITIATIVES FUND IS DESIGNATED FOR POLINSKY AND POLINSKY CORPORATE AFFILIATES. ONE-HALF OF THE DISTRIBUTIONS FROM THE EDWARD S AND JOSEPHINE WENDORF FOUNDATION THAT WERE PREVIOUSLY DESIGNATED FOR THE VAN GORDEN FUND OF PRC GO TO THIS SUB FUND. _ OUTREACH SUB FUND: THIS SUB FUN OF THE VAN GORDEN NEW INITIATIVES FUND IS WITHOUT RESTRICTION AS TO AFFILIATION. ONE-HALF OF THE DISTRIBUTIONS FROM THE EDWARD S. AND JOSEPHINE WENDORF FOUNDATION THAT WERE PREVIOUSLY DESIGNATED FOR THE VAN GORDEN FUND OF PRC GO TO THIS SUB FUND. PART X, LINE 2: THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO EXPENSE HAS BEEN RECOGNIZED FOR INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE DEDUCTIONS BY THE CONTRIBUTOR. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION EVALUATED ITS TAX POSITIONS AND DETERMINED IT HAS NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2024 AND 2023. SHOOT FOR FUN 264855 237355 27500 1860 97429 20951 36039 ARTCETRA 181930 181930 15107 12086 15605 17925 9540 446785 419285 27500 1860 112536 33037 15605 17925 45579 226542 -199042 39908 10167 1 0.10000 39908 10167 10167 29741 MN 1 0 1 0 1.00000 DEBRA CARL 225 W SUPERIOR ST SUITE 110 DULUTH MN 55802 0 ERIC LARSON 1818 MANAGE EVENT WITH OVERSIGHT OF TICKET SALES, TRACKING COMMUNICATION AND MARKETING. X 0 1 ESSENTIA HEALTH 400 E 3RD ST DULUTH MN 55805 200360007 501C3 449290 0 MEDICAL EQUIPMENT, PATIENT PROGRAMS, AMBERWING SALARY NORTH LAKES COMMUNITY CLINIC 7665 US HWY 2 IRON RIVER MN 54847 473453977 501C4 24634 0 PM+ MEDIAL TRAINING STIPEND MN MASONIC CHILDRENS 24 WEST 2ND ST DULUTH MN 55802 411420162 501C3 15000 0 PM+ MEDIAL TRAINING STIPEND MINNESOTA BALLET 506 WEST MICHIGAN STREET DULUTH MN 55802 416055588 501C3 14865 0 BALLET FOR INDIVIDUALS WITH DISABILITIES COLLEGE OF ST SCHOLASTICA 1200 KENWOOD AVE DULUTH MN 55811 410698301 501C3 55900 0 PM+ MEDIAL TRAINING STIPEND THE GEORGE WASHINGTON UNIVERSITY PO BOX 829896 PHILADELPHIA PA 191182989 530196584 501C3 62266 0 PM+ MEDIAL TRAINING STIPEND HGA SDS 12-1861 PO BOX 86 MINNEAPOLIS MN 554861861 410778838 501C3 16650 0 LIVE WELL NORTHER WI PROJECT TRANS NORTHLAND 16 1/2 NORTH 1ST AVE W SUITE 2 DULUTH MN 55802 920329039 501C3 15000 0 PM+ MEDIAL TRAINING STIPEND 7 1 PARA OLYMPICS 1 11883 LIVE WELL NORTHERN WI PROJECT 1 29580 PART I, LINE 2: A FINAL GRANT REPORT MUST BE PROVIDED WITHIN TWO MONTHS OF PROJECT OR PROGRAM COMPLETION. FUTURE PROPOSALS WILL NOT BE ELIGIBLE FOR REVIEW UNTIL ALL OUTSTANDING REPORTS ON COMPLETED PROJECTS ARE SUBMITTED. THE FOLLOWING INFORMATION IS REQUIRED: - PROVIDE A HEADING FOR THE REPORT INCLUDING PROJECT NAME, GRANT NUMBER, ADDRESS, PHONE NUMBER AND THE NAME OF THE INDIVIDUAL RESPONSIBLE FOR COORDINATING THE PROJECT. - DESCRIBE ANY CHANGES THAT OCCURRED IN THE PROJECT FROM THE ORIGINAL CONCEPT AS PRESENTED IN YOUR PROPOSAL, WHY SUCH CHANGES WERE NECESSARY AND ANY PROBLEMS YOU ENCOUNTERED. - DESCRIBE THE RESULTS OF THE THIS PROJECT. INCLUDE SUMMARIES OF ANY OUTCOME MEASURES YOU USED ONLY IF THEY PROVIDE INFORMATION RELATED TO THE EFFECTIVENESS OF THE PROJECT. COMMENT ON YOU SATISFACTION/DISSATISFACTION WITH THESE RESULTS AND ANY MODIFICATIONS YOU BELIEVE WOULD HAVE PRODUCED MORE DESIRABLE OUTCOMES. PROVIDE A STORY THAT EXEMPLIFIES YOUR RESULTS. - DISCUSS FUTURE IMPLICATIONS OF THE PROJECT (E.G. ALLOWED STARTUP OF A PROGRAM THAT WILL CONTINUE TO PROVIDE SERVICES, RESULTING IN BETTER PATIENT OUTCOMES). - PROVIDE A FINANCIAL REPORT DETAILING THE EXPENDITURES OF MILLER-DWAN FOUNDATION FUNDS AS WELL AS TOTAL PROJECT REVENUE AND EXPENSES. IN THE EVENT OF EQUIPMENT PURCHASE, PROVIDE VERIFICATION OF PURCHASE. - ATTACH COPIES OF PROJECT PUBLICITY, NEWSPAPER ARTICLES, PROGRAM BROCHURES, SCHEDULE OF EVENTS, NEWSLETTERS AND OTHER INFORMATION PUBLICLY ACKNOWLEDGING THE RECEIPT OF FUNDS AND/OR INFORMING THE PUBLIC OF GRANT ACTIVITIES. ANY DEVIATIONS FROM THE ORIGINAL GRANT MUST BE REPORTED TO AND REVIEWED BY THE MILLER-DWAN FOUNDATION GRANTS SPECIALIST. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 TRACI MARCINIAK PRESIDENT 170227 0 0 0 0 0 0 0 24111 0 194338 0 0 0 PART I, LINE 1A THE MILLER-DWAN FOUNDATION SUPPORTS THE COST OF MEMBERSHIPS TO LOCAL SOCIAL CLUBS AS THEY ARE DESIGNED TO OFFER PRIVATE MEETING SPACE IN A HOSPITALITY SETTING. LOCAL SOCIAL CLUBS ARE VENUES AT WHICH PROSPECTS, DONORS, AND BUSINESS ASSOCIATES GATHER ON A FREQUENT BASIS. THE MILLER-DWAN FOUNDATION PRESIDENT SHALL BE AUTHORIZED TO UTILIZE SOCIAL CLUBS TO FURTHER THE MISSION OF THE ORGANIZATION. THE PRESIDENT'S USE OF THE CLUB IS FOR BUSINESS PURPOSES ONLY. THIS BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION. SOCIAL CLUB BILLING STATEMENTS WILL BE SENT TO THE MILLER-DWAN FOUNDATION ACCOUNTANT WHO WILL COMPARE WITH SUBMITTED RECEIPTS, CODE APPROPRIATELY AND PROCESS. ALL OF THE PRESIDENT'S DONOR/PROSPECT MEETINGS ARE VISIBLE ON HER OUTLOOK CALENDAR FOR THE MILLER-DWAN FOUNDATION TEAM TO SEE. BASED ON WHO THE DONOR IS, INFORMATION IS INCLUDED IN THE DONOR DATABASE (RE) REGARDING ANY CULTIVATION/SOLICITATIONS IN PROCESS, AS WELL AS THE RELATIONSHIP AS IT RELATES TO GENERAL BUSINESS MATTERS. X SERVICES 6 58357 FMV X ACTION BASKETS 22 27816 FMV X EXPERIENCES 16 18863 FMV X FOOD 2 7500 FMV X GIFT CARDS 11 1860 CASH VALUE 0 0 0 0 PART I, COLUMN (B): THE ORGANIZATION REPORTED THE NUMBER OF ITEMS CONTRIBUTED FOR GIFT CARDS, EXPERIENCES, FOOD, SERVICES AND ACTION ITEMS. FORM 990, PAGE 1, LINE 5 FORM 990, PART I, LINE 5 MILLER-DWAN FOUNDATION HAS 11 EMPLOYEES. THESE EMPLOYEES ARE COMPENSATED BY ESSENTIA HEALTH, AN UNRELATED ORGANIZATION. MILLER-DWAN FOUNDATION REIMBURSES ESSENTIA HEALTH FOR THE COMPENSATION. FORM 990, PART VI, SECTION B, LINE 11B THE PRESIDENT AND ACCOUNTANT OF THE FOUNDATION REVIEW THE 990 FOR ACCURACY AND COMPLETENESS OF INFORMATION. THE FINAL COPY OF THE 990 IS PROVIDED TO ALL BOARD MEMBERS FOR THEIR REVIEW AND APPROVAL AT A BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD POLICY REGARDING CONFLICTS OF INTEREST AND DUALITY OF INVOLVEMENT IS AS FOLLOWS: A. DURING THE CONSIDERATION OF A PROPOSED ALLOCATION GRANT OR OTHER MATTER AFFECTING THE MILLER-DWAN FOUNDATION, ANY BOARD/COMMITTEE MEMBER WHO HAS OR IS AWARE OF A POTENTIAL CONFLICT OF INTEREST/DUALITY OF INVOLVEMENT, SHALL FULLY DISCLOSE SUCH CONFLICT TO THE BOARD PRIOR TO THE GRANTS DISCUSSION. B. ANY PERSON DEEMED BY HIMSELF/HERSELF OR BY THE CHAIR TO HAVE A CONFLICT OF INTEREST/DUALITY OF INTEREST, EXCLUDING THOSE ASSOCIATED WITH VAN GORDEN RELATED GRANT DISCUSSIONS, SHALL NOT PARTICIPATE IN ANY CONSIDERATION OF THE GRANT REQUEST AND MAY CHOSE TO LEAVE THE ROOM DURING THE DISCUSSION AND VOTING. C. BOARD/COMMITTEE MEMBERS SHALL NOT USE THEIR PERSONAL INFLUENCE IN THE DISCUSSION OF THE GRANT OR MATTER, HOWEVER, WHEN THE MEMBER'S KNOWLEDGE WILL ASSIST THE BOARD OR COMMITTEE AND WHEN THE BOARD OR COMMITTEE REQUESTS SUCH INFORMATION, A PERSON WITH A CONFLICT OR DUALITY OF INTEREST MAY RESPOND TO PERTINENT QUESTIONS. D. NO ORGANIZATION SHALL RECEIVE SPECIAL MILLERDWAN FOUNDATION CONSIDERATION BASED ON A BOARD, COMMITTEE, OR FAMILY MEMBER OR FINANCIAL RELATIONSHIP. E. NO BOARD/COMMITTEE MEMBER SHALL USE HIS OR HER POSITION, OR THE KNOWLEDGE GAINED THERE FROM, IN SUCH A MANNER THAT A CONFLICT BETWEEN THE INTEREST OF THE MILLER-DWAN FOUNDATION OR ANY OF ITS ASSOCIATED AGENCIES OR ORGANIZATIONS AND HIS OR HER INTERESTED PERSONS, ARISES. F. A CONTRACT OR OTHER TRANSACTION BETWEEN THE MILLER-DWAN FOUNDATION AND A BOARD/COMMITTEE MEMBER IS NOT VOID OR VIOLABLE BECAUSE THE BOARD/COMMITTEE MEMBER IS A PARTY TO THE CONTRACT OR BECAUSE THE BOARD/COMMITTEE MEMBER IS PRESENT AT THE MEETING AT WHICH THE CONTRACT OR TRANSACTION IS AUTHORIZED, APPROVED OR RATIFIED, SO LONG AS THE FOLLOWING CONDITIONS ARE SATISFIED: A. THE MATERIAL FACTORS CONCERNING THE CONTRACT OR TRANSACTION AS THEY RELATE TO THE BOARD/ COMMITTEE MEMBER'S CONFLICT OF INTEREST MUST BE FULLY DISCLOSED, OR MUST BE KNOWN TO THE BOARD OR COMMITTEE AUTHORIZING, APPROVING OR RATIFYING THE CONTRACT OR TRANSACTION AND B. THE BOARD OR COMMITTEE AUTHORIZING, APPROVING, OR RATIFYING THE CONTRACT OR TRANSACTION MUST DO SO IN GOOD FAITH BY A MAJORITY, NOT COUNTING ANY VOTE THAT THE INTERESTED BOARD/ COMMITTEE MEMBER MIGHT OTHERWISE HAVE, AND NOT COUNTING THE BOARD/COMMITTEE MEMBER IN DETERMINING THE PRESENCE OF A QUORUM. G. THESE CONDITIONS APPLY TO ANY CONTRACTS OR OTHER TRANSACTIONS BETWEEN MILLERDWAN FOUNDATION AND A BOARD/COMMITTEE FAMILY MEMBER OR AN ORGANIZATION IN OR OF WHICH THE BOARD/COMMITTEE MEMBER OR A MEMBER OF THE BOARD/COMMITTEE MEMBER'S FAMILY IS A DIRECTOR, OFFICER OR LEGAL REPRESENTATIVE OR HAS A MATERIAL FINANCIAL INTEREST. H. BOARD/COMMITTEE MEMBERS HAVE A DUTY TO PLACE THE INTERESTS OF THE ORGANIZATION FOREMOST IN ANY DEALING WITH THE ORGANIZATION AND HAVE A CONTINUING RESPONSIBILITY TO COMPLY WITH THE REQUIREMENTS OF THIS POLICY. FOR THE PURPOSE OF CARRYING OUT THIS POLICY, THE MILLER-DWAN FOUNDATION PROVIDES A DISCLOSURE STATEMENT TO ALL BOARD MEMBERS REGARDING ORGANIZATIONS WITH WHICH EACH PERSON AND/OR FAMILY MEMBERS IS, OR HAS BEEN WITHIN THE PRIOR TWO YEARS, A TRUSTEE, DIRECTOR, SIGNIFICANT FINANCIAL SUPPORTER, ACTIVE VOLUNTEER, CURRENT CONSUMER OF ITS SERVICES OR STAFF MEMBER. ON THE BASIS OF THIS DISCLOSURE, STAFF WILL IDENTIFY ANY CONFLICT OF INTEREST/DUALITY OF INVOLVEMENT WHENEVER SUCH ORGANIZATIONS ARE CONSIDERED FOR A POSSIBLE ALLOCATION GRANT OR OTHER MATTER. THIS, HOWEVER, DOES NOT RELEASE A BOARD/COMMITTEE MEMBER OF THE RESPONSIBILITY TO INFORM THE PRESIDENT AND CHAIR OF ANY CONFLICTING ROLES OR DUAL ROLES THEY MAY HAVE IF NOT OTHERWISE DISCLOSED. DISCLOSURE STATEMENTS WILL BE DISTRIBUTED PERIODICALLY FOR THE PURPOSES OF UPDATING. THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED, REVIEWED, AND SIGNED BY BOARD MEMBERS ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15A THE MILLER-DWAN FOUNDATION EXECUTIVE COMMITTEE/OFFICERS REVIEW THE 990S OF OTHER COMPARABLE ORGANIZATIONS IN THE COMMUNITY TO DETERMINE CEO SALARIES, AS WELL AS NATIONAL NONPROFIT AND FOUNDATION SALARY AND BENEFITS SURVEY DATA TO DETERMINE THE APPROPRIATE SALARY. THAT GROUP THEN DISCUSSES AND DETERMINES SALARY FOR THE POSITION AS WELL AS ANY INCREASES OR OTHER CHANGES. FORM 990, PART VI, SECTION C, LINE 19 THE ANNUAL REPORT IS AVAILABLE ON THE FOUNDATION'S WEBSITE AND IN PERSON AT THE FOUNDATION'S OFFICE. ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, OTHER POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE FOUNDATION OFFICE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN THE SECTION 6104(D). 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